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OR-11B Class I Crowded: Cuspid Retraction	$96.50	OR-11B Class I Crowded: Cuspid Retraction quantity	$96.50	×
AC-12 Engraved Plate 6/9	$7.00	AC-12 Engraved Plate 6/9 quantity	$7.00	×
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Total	$111.01